肌电图在臭氧治疗多节段椎间盘突出术中作用

发布时间：2018-04-25 23:07

本文选题：DSA引导 + 臭氧　；参考：《介入放射学杂志》2017年10期

【摘要】：目的探讨臭氧治疗多节段椎间盘突出下肢肌电图的术前定位作用及对疗效的预判。方法自2012年1月至2013年12月临床资料完整的经MR明确诊断为多节段腰椎间盘突出的患者51例,采用DSA引导下臭氧椎间盘内注射联合脊神经周围臭氧注射和脊神经周围复方倍他米松及布比卡因注射治疗腰椎问盘突出症患者,采用M-JOA下腰痛评分、Oswestry功能障碍指数(ODI)标准评价治疗效果。结果 51病例术前肌电图提示神经根性损伤43例,阳性率84.3%;HIZ征阳性30例,阳性率58.8%;Modic征阳性24例,阳性率47.1%。术后1、3和6个月的M-JOA评分、ODI指数随访显示,术后1、3和6个月有效率分别为90.1%、86.2%、78.5%和87.3%、79.5%、74.6%。结论下肢肌电图在臭氧治疗多节段椎间盘突出的术前定位准确,能精确预判臭氧治疗的疗效,值得临床推广。
[Abstract]:Objective to investigate the preoperative localization of lower limb electromyography (EMG) in the treatment of multi-segmental disc herniation. Methods from January 2012 to December 2013, 51 patients with multilevel lumbar disc herniation were diagnosed by Mr. Patients with lumbar disc herniation were treated with intradisc ozone injection guided by DSA combined with perispinal ozone injection and compound betamethasone and bupivacaine injection. Low back pain score (M-JOA) and Oswestry dysfunction index (Oswestry index) were used to evaluate the therapeutic effect. Results before operation, 43 cases of nerve root injury were diagnosed by electromyography. The positive rate was 84.3% and HIZ sign was positive in 30 cases, the positive rate was 58.8% and Modic sign was positive in 24 cases, the positive rate was 47.1%. The follow-up of M-JOA score and ODI index at 1 and 6 months postoperatively showed that the effective rate was 90.1 and 86.2%, respectively, and 79.5% and 87.3% respectively. Conclusion the lower extremity electromyography is accurate in the preoperative localization of multilevel disc herniation in ozone therapy and can predict the effect of ozone therapy accurately. It is worth popularizing in clinic.
【作者单位】：同济大学医学院;上海中医药大学附属岳阳医院;同济大学附属第十人民医院;
【分类号】：R687.3

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